在美国,部骨折的发生率和死亡率
Carmen A Brauer1, Marcelo Coca-Perraillon, David M Cutler
1Division of Orthopedic Surgery, University of Calgary, Alberta Children's Hospital, 2888 Shaganappi Trail NW, Calgary, AB, Canada T3B 6A8. carmen.brauer@albertahealthservices.ca
JAMA
|October 15, 2009
概括
在65岁以上的美国成年人中,部骨折发生率和死亡率正在下降. 这一趋势与双酸盐的使用增加和患者并发症的增加相吻合.
科学领域:
- 老年学是指老年学的学科.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 部骨折是一个重大的公共卫生问题,影响了人口健康指标.
- 了解发病率和死亡率对于评估医疗保健的有效性至关重要.
研究的目的:
- 分析两十年来关节骨折发生率和相关死亡率的趋势.
- 专注于65岁及以上的美国医疗保险人口.
主要方法:
- 使用医疗保险索赔数据 (1985-2005) 的观察性研究.
- 包括786,717个65岁以上的个人部骨折.
- 从医疗保险当前受益者调查 (1992-2005) 中分析的药物数据.
主要成果:
- 部骨折发生率从1986年至1995年增加,然后在男性和女性中从2005年开始下降.
- 根据年龄调整后的死亡率在骨折后的30,180和360天内对两性都显著下降.
- 骨骨折患者的并发症增加,不包括.
结论:
- 在美国老年人中,关节骨折率和死亡率正在下降.
- 增加双酸盐的使用可能与发病率下降相关.
- 部骨折患者的并发病率上升需要引起注意.
相关概念视频
Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Types of Reports II: Incident or Occurrence Report
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Prevalence and Incidence
In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health condition at a...
Prevalence indicates the proportion of individuals in a population who have a specific disease or health condition at a...
Bone Disorders
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
